About this policy
The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Homocysteine Level, Serum L34419 . Limitations: Serum homocysteine levels will not be covered other than for suspected B12/folate deficiency, or for risk stratification for the conditions noted in the ICD-10-CM Codes that Support Medical Necessity section of this article. It is covered only once in a lifetime for the initial determination for risk stratification. Subsequent determinations will be covered only if appropriate treatment does not correct the anemia or symptoms.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
| Code | Code system | Status in this policy |
|---|---|---|
| 83090 | HCPCS | Covered |
| D51.0 | ICD10CM | Covered |
| D51.1 | ICD10CM | Covered |
| D51.2 | ICD10CM | Covered |
| D51.3 | ICD10CM | Covered |
| D51.8 | ICD10CM | Covered |
| D51.9 | ICD10CM | Covered |
| D52.0 | ICD10CM | Covered |
| D52.1 | ICD10CM | Covered |
| D52.8 | ICD10CM | Covered |
| D52.9 | ICD10CM | Covered |
| D53.1 | ICD10CM | Covered |
| E10.10 | ICD10CM | Covered |
| E10.11 | ICD10CM | Covered |
| E10.21 | ICD10CM | Covered |